2009 h1n1 influenza pandemic a local public health agencys experience
TRANSCRIPT
2009 H1N1 Influenza Pandemic
A Local Public Health Agency’s Experience
Steve JohnsonLocal Public Health Preparedness Coordinator
Representing:
Brown County Health DepartmentCity of De Pere Health DepartmentOneida Community Health Services
Lessons Learned
What went well? What needs improvement?
Primary Public Health ActivitiesThroughout the Pandemic
Disease Surveillance & Containment Public Information Vaccine Management & Distribution
Funding
PHER – Public Health Emergency Response
Legend
= went well
Legend
= needs improvement
Disease Surveillance & Containment
Partner updates Communication PPE
Partner Updates
Face-to-Face May 1, 2009 60+ attended
Teleconferences Communicable Disease Surveillance meetings
Communication
MediaSite Live Webcasts WI DHS Situation Reports WEDSS
Not Everyone On Board
“Experimental” Some clinicians not supportive of vaccines Belief vaccine is harmful to pregnant women “It’s just the flu”
Personal Protective Equipment
N95 respirators in short supply Confusing guidelines for use
Public Information
Coordinated messages Communication methods Target groups Clinics
Coordinated Messages
Local collaboration between health agencies Timing of clinics
Communication
Don’t rely on news media as only source to get information to the public
Other Sources/Methods
Communicable Disease Surveillance Group Chamber of Commerce newsletters Disparate groups Schools Churches Ethnic groups Fax/email distribution lists Fliers
Sources/Methods (continued)
Billboards Yard signs 2-1-1 Websites* Twitter
www.twitter.com/BrownCoHealth E-Sponder
www.brown.wiesponder.com
Conveying Target Groups Was Challenging
Who could get what and when? Nasal vs. injectable Shift from seasonal flu campaigns
Vaccine Management& Distribution
Vaccine Clinic sites/types Equipment Signage Volunteers Just-In-Time Training
Vaccine
Slow to arrive, particularly NE Wisconsin
But…vaccination clinics weren’t overrun
Previous Planning Performed
Memoranda Of Understandings (MOUs)with Points of Dispensing (PODs)
Familiarity with sites Experience from exercises Incident Command System (ICS)
H1N1 Vaccinations
18,559 since late October 2009
By Brown County, De Pere, Oneida Nation
Varied Clinic Sites Successful
“Neighborhood” clinics were popular Some intimidated by large venues
Clinic Sites/Types
Target groups Health care workers
Large “mass” venues Neighborhood clinics Health Department
Appointment Walk-in
Special needs Outreach to disparate groups
Brown County Arena
November 12 – 857
November 14 – 1,178
The Church of Jesus Christof Latter-day Saints
November 19 – 1,099
Shopko Hall
December 8 - 771
December 17 – 2,060
Lambeau Field Atrium
December 2 – 1,505 January 12 – 1,322
Schools (General Public)
Wrightstown Middle School – 411 Pulaski Middle School – 858 West High School – 475 East High School – 650 Bay Port High School – 412 Denmark Middle School – 129
De Pere Health Department
4,376 vaccinations Community Center
November 19 - 491 January 8 – 500
Schools Appointment Walk-in
Oneida Nation Elementary School
November 13 – 279 November 14 – 405 January 20 – 156
42% Non-Native at Oneida Clinics
Equipment
Radios Vests PPE Stanchions Privacy screens Vaccine coolers
Clinic Signage
Aided flow Multiple languages
English Spanish Hmong
Volunteers
Red Cross WEAVR (Wisconsin Emergency Assistance Volunteer
Registry) CERT (Community Emergency Response Team) Estimated 500+ hours
Just-In-Time Training
Temporary staff and volunteers Standardized materials Volunteer Expert Panel Recommendations Job Action Sheets
Most Valuable…
Flexibility Strong Community Partnerships
